Intussusception in an adult

Discussion:

Right hemicolectomy: A dilated right hemicolectomy with obvious intussusception, consisting of terminal ileum 50mm, cecum 70mm and ascending colon 250mm in length. The serosa of the cecum appears pale, however no tumor deposits are seen. Within the base of the cecum there is a large fungating and exophytic 70x55mm tumor, situated 40mm from the ileocecal valve. The adjacent mucosa appears grossly edematous. No appendix is identified. No other mucosal polyps or tumors are seen.

Biopsy report: cecal adenocarcinoma.

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